Chapter 498: The cause of death is determined
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Don't rush to conclusions yet. Yang Tashan www.biquge.info who conducted a ring precipitation reaction test, confirmed that it was indeed human blood in the effusion. In other words, the fluid in the abdominal cavity is a mixture of blood and amniotic fluid.
The next step is to identify the bleeding site. Yang Tashan carefully examined the deceased's chest and abdomen, lungs, heart, stomach, liver, spleen, kidneys, intestines and other organs, and found no traumatic damage, and there was no bleeding.
Then, when the uterus and its appendages are examined, the omentum is adherent to the anterior wall of the uterus and the bladder, and there is a protrusion between the lower part of the uterus and the bladder, which is hard to the touch and covered with serous membrane. He approached the uterus and cut open the serous membrane and found that it was a baby's skull, with serrated flat bone fragments with serrated edges, which had completely penetrated the myometrium.
Yang Tashan separated the peritoneum, cut off the connection between the uterus and the adnexal pelvic wall from the outside of each ligament, took out the uterus, the appendage and each ligament together for examination, and found a hole the size of a grain of rice in the uterine wall. When the uterus was dissected, it was found that there were scratch wounds on the wall and cervix.
From this wound, it looks like a puncture wound caused by labor induction.
In ancient times, when it was found that a pregnant woman was pregnant with a stillborn baby and needed to induce labor, in addition to using decoction, long needles, iron bars and other instruments were often inserted into the uterus to puncture the amniotic membranes in the uterine cavity and release amniotic fluid to achieve the purpose of abortion. This method is very dangerous, once the mistake is made, it is easy to puncture the uterine wall, pass through the [***] posterior fornix into the abdominal cavity, and may even puncture the internal organs of the abdominal cavity, and the amniotic fluid overflows into the abdominal cavity to cause peritonitis, massive hemorrhagic shock and death.
If so, the woman should have had her labor induced.
He then examined other organs and found no other lesions or damage.
However, he was intrigued by the contents of the deceased's stomach, which contained some minced meat and vegetables, which had not yet been digested and were vaguely recognizable as chicken, pork, fish, eggs, and white rice. Judging from the fact that the contents of the stomach have not been digested, let alone emptied, the deceased must have been killed within an hour of eating.
This provides a reliable basis for finding out the specific time of death, but this time the time of death is not what Yang Tashan is most interested in, what he is most interested in is the food that the deceased ate.
Judging from the palms and limbs of the deceased, this woman has rough hands and feet, and her palms are calloused, and she is obviously not the daughter of a rich family, but a peasant woman engaged in manual labor. However, if it is a peasant woman, how can there be chickens and fish in what she eats? It doesn't quite fit her identity.
Yang Tashan frowned and thought for a while, a peasant woman could eat so well in a famine year, and there were three kinds of meat alone, which could not help but surprise people. What's going on? Maybe there are too many surnames, and he doesn't have a clue for a while.
After the autopsy was completed, according to the bleeding hole found, Yang Tashan was sure that he killed this case!
There are two main reasons: first, heavy bleeding and severe peritonitis are enough to prevent the deceased from completing the suicidal act.
Judging from the puncture hole of this rice grain in the uterine wall, although the amount of bleeding per unit volume is not too large, however, the severe pain caused by the mixture of blood and amniotic fluid entering the abdominal cavity and causing peritonitis is very terrible, the loss of thousands of milliliters of blood and severe pain are enough to make the deceased lose most of his mobility, and the fracture of the left temporal part of the crushed depression requires a lot of blow.
Second, there are no signs of accidental death such as high falls. Since the fatal injury to the deceased's left temporal bone was a fracture of the crushed concave surname and a contusion and laceration of the brain, it shows that the strength of the blow was very large, if the deceased was seriously injured and fell down when he was unconscious, and the temporal part hit the bluestone slab, the woman was very lightweight, so at best, it caused a fracture of the line surname, and it was impossible to cause such a serious injury as a fracture of the crushing surname depression.
It is also unlikely to be a high fall injury, because the autopsy proved that the deceased did not have multiple fractures and internal organ rupture that are common in high falls, except for two injuries, a blunt temporal trauma and a stab wound to the uterine wall, and there was no hedge brain contusion to the brain. What's more, the wound is in the temporal region, and if a high fall injury is going to hurt the temporal region, it must fall in a strange way with the head tilted on its side, which is not logical.
Therefore, Yang Tashan judged that the woman died from his homicide.
Yang Tashan put the organ back into the corpse, stitched it up, and found a dress to put on the corpse.
After Yang Tashan's examination was completed, he began to restore the cranial image.
Because the corpse was already [***] high, and crawling with maggots, it was far from the original appearance of the deceased, and it could be described beyond recognition, and even if it was shown to the relatives of the deceased, it would not be possible to recognize who it was. It must be restored before the portrait is painted.
Most of the muscles of the deceased's skull are still there, and the skin on the face is relatively intact, but it is highly [***] swollen, which is due to the fact that the skin layer is filled with [***] gas, and in order to recover, the [***] gas must first be discharged by using the simple facial restoration method, so that the corpse is roughly close to the original appearance. The defect is then repaired, especially the eye, which is relatively easy to recover as the eye has been eaten by maggots, but the skin of the orbit is still largely present.
After Yang Tashan discharged the [***] gas on his face and basically restored his face to normal, he found clay to repair the temporal region and eye area, and then colored and restored, and added eyelashes. It took almost an hour to get it right. Then, Yang Tashan called the painter of the Yamen to paint the restored head.
By the time the artist finished drawing, it was already afternoon. Yang Tashan then ordered the yamen to carry the body to be cremated.
After Yang Tashan saw the body cremated, he came to the Yamen to catch the fast class.
Cheng Ziqin and the three team leaders were discussing the case in the small living room of the fast catching class, and when they saw Yang Tashan coming in, the three team leaders hurriedly stood up and bowed. Yang Tashan returned the salute and sat down.
Cheng Ziqin frowned, and looked Yang Tashan up and down: "Yang Zhutou, why do you stink so much?" The three team leaders of Thin Monkey, Luo Yi and Ma Liang obviously also discovered the smell on Yang Tashan's body, and they didn't dare to pinch their noses, so they looked at Yang Tashan quite embarrassed.
Yang Tashan sniffed: "It doesn't stink, why does it stink?" Then I thought that I had been autopsiing the corpse all morning, although I was wearing special deerskin gloves, but the mortuary was cramped, and it was a hot summer, and the room was full of corpse stench, which filled the whole body, and it was not easy to dissipate for a while. He smiled: "It's the corpse stench, it's okay, it'll be fine in a while." ”
Cheng Ziqin asked, "How is it?" Did you find anything? ”
Yang Tashan took out the portrait drawn by the painter according to his restored head from his arms, and said: "After examination, the head and the body are the same person, the female surname, after the examination of the degree of wear and tear on the occlusal surface of the teeth of the corpse, it is estimated that the age is about twenty-three years old. This is a portrait drawn by a Yamen painter after the corpse was restored. ”
Cheng Ziqin took it, took a closer look, and then transferred it to several other catchers. Cheng Ziqin asked, "Have you restored that rotten head?" ”
"Yes."
"You're amazing, what about the head?"
"Didn't you say you would burn it after the inspection? So I told him to take it and burn it with his body. Yang Tashan thought to himself, the corpse had been craniotomy and brain removal for testing, and it must not be left behind, lest people find out that it had been autopsied, and he would be in trouble.
Cheng Ziqin nodded: "It's okay to burn it, anyway, there are already portraits, wait a while and ask the painter to draw a few more pictures to facilitate the investigation of the source of the corpse." What did you find in your autopsy? ”
Yang Tashan said: "I checked the palm of the corpse and found that it was rough and had mild calluses. This indicates that the woman may have come from the countryside and was engaged in manual labor. The cause of death was a cerebral contusion and laceration caused by a fracture of the temporal crushing and depression, and the massive hemorrhage in the body accelerated the process of death, which was also one of the causes of death. ”
Although Cheng Ziqin didn't understand his string of forensic terms, he still nodded and praised: "Yes, you really found something." ”
"There's something to be found later." Yang Tashan said with a smile, "The external wound on this woman's forehead was formed by striking with an angular bluestone block......
"Angular bluestone blocks? How do you know? Cheng Ziqin interjected and asked.
Yang Tashan smiled mysteriously: "This is a secret, in the future, I will be responsible for solving the case, you only need to listen to my conclusions, you can't ask why or how you know, because this is my secret to solve." ”
Cheng Ziqin and Thin Monkey glanced at each other, of course they knew the taboo of stealing teachers to learn arts, so they all nodded. Cheng Ziqin said: "Okay, let's not ask, you can continue." ”
"This traumatic injury to the left temporal part of the deceased resulted in a shattered skull, a depression, a fracture, and a brain contusion, which was one of the fatal injuries......"
"One?" Cheng Ziqin asked again, "Are there any other fatal wounds?" Why didn't we find it when we inspected the site just now? ”
Yang Tashan thought to himself, if he did not conduct an autopsy, he would not have found another fatal injury, but this fatal wound was on the wall of the uterus, if it was accurately said, I am afraid that people would suspect that he had performed an autopsy, so he said vaguely: "I found out that this woman was pregnant and had an induced labor operation, but the operation was unsuccessful, and the baby was stillborn, it is likely that the fetal head is too large or the cervix is too small to be delivered smoothly." The surgeon then crushed the baby's skull and removed the baby, but a piece of the skull remained in the womb. Surgery caused massive bleeding in the deceased and was another cause of death. ”
Hearing this, the thin monkeys felt chills all over their bodies.
Cheng Ziqin blushed and asked, "Do you know how to induce children?" ”
"Hehe, let's catch quickly, we have to know a little bit about everything to find clues."
The thin monkey said: "Yang Zhutou, what clues have you found?" ”
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(To be continued)